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The complex urologic and sexologic examination of the urethral canal was performed in 56 sufferers with urethral trauma. By means of cavernosography, the ways of the venous blood chrowing from the cavernous bodies were established. Pathogenesis of impotence is considered. The recommendations on rehabilitation, prophylaxis of the disorder in sexual function in patients with traumatic stricture of the urethral canal are given. It is shown that endofallografting is the most effective and pathogenetically substantiated method for the treatment of impotence in sufferers with traumatic injury to the urethral canal.

A system for the assessment of the results of the operative treatment of a traumatic stricture of the urethral canal is suggested. Of the 63 patients operated on, a long-term results was studied in 39 (62%). The radical operation of Karpenko, Kholtsov, Rusakov have proved to be the most effective. Maximum effectiveness of the operative treatment was noted in diseases duration of up to 1 year. A new concept of pathogenesis of the complications which occur in patients with recurrent traumatic stricture of the urethral canal has been developed.